Commentaries Archives - Page 3 of 4 - Critical Care Science (CCS)

Commentaries
Shortage of intensive care specialists in the United States: recent insights and proposed solutions
- Stephen M. Pastores,
- Vladimir Kvetan
Rev Bras Ter Intensiva. 2015;27(1):5-6
Abstract
Commentaries
Shortage of intensive care specialists in the United States: recent insights and proposed solutions
Rev Bras Ter Intensiva. 2015;27(1):5-6
DOI 10.5935/0103-507X.20150002
Stephen M. Pastores,
Vladimir Kvetan
Views1
Despite well-publicized projections of an impending and actual intensivist workforce crisis in the United States from critical care societies and the federal government for over a decade,(,) there continues to be a nationwide shortage of intensivists. Others, however, contend that workforce models, which base demand projections on intensive care unit (ICU) admission rather than true […]
See more

Views1
Abstract
Commentaries
Shortage of intensive care specialists in the United States: recent insights and proposed solutions
Rev Bras Ter Intensiva. 2015;27(1):5-6
DOI 10.5935/0103-507X.20150002
Stephen M. Pastores,
Vladimir Kvetan
Views1
Despite well-publicized projections of an impending and actual intensivist workforce crisis in the United States from critical care societies and the federal government for over a decade,(,) there continues to be a nationwide shortage of intensivists. Others, however, contend that workforce models, which base demand projections on intensive care unit (ICU) admission rather than true […]
See more
Commentaries
Goals of goal-directed sedation
- Yahya Shehabi
Rev Bras Ter Intensiva. 2015;27(1):1-4
Abstract
Commentaries
Goals of goal-directed sedation
Rev Bras Ter Intensiva. 2015;27(1):1-4
DOI 10.5935/0103-507X.20150001
Yahya Shehabi
Views1
“Be stubborn about your goals and flexible about your methods” Although goal setting is traditional in motivational and behavioral sciences,() goal-directed (GD) approach is a relatively recent phenomenon that has dominated the intensive care world over the last 2 decades.() GD management, however, is not new to medicine.() The goals of blood pressure and blood […]
See more

Views1
Abstract
Commentaries
Goals of goal-directed sedation
Rev Bras Ter Intensiva. 2015;27(1):1-4
DOI 10.5935/0103-507X.20150001
Yahya Shehabi
Views1
“Be stubborn about your goals and flexible about your methods” Although goal setting is traditional in motivational and behavioral sciences,() goal-directed (GD) approach is a relatively recent phenomenon that has dominated the intensive care world over the last 2 decades.() GD management, however, is not new to medicine.() The goals of blood pressure and blood […]
See more
Commentaries
Corticosteroids for severe CAP: the pros
- Antoni Torres
Rev Bras Ter Intensiva. 2015;27(3):202-204
Abstract
Commentaries
Corticosteroids for severe CAP: the pros
Rev Bras Ter Intensiva. 2015;27(3):202-204
DOI 10.5935/0103-507X.20150041
Antoni Torres
Views2
Severe community-acquired pneumonia (CAP) occurs in approximately 10% of hospitalized patients with CAP, and it still carries a high morbidity and mortality. In a multicenter study on severe pneumococcal CAP, the mortality of this population was 29%, with high rates of patients requiring mechanical ventilation and a shock.() Patients with severe CAP might die despite […]
See more

Views2
Abstract
Commentaries
Corticosteroids for severe CAP: the pros
Rev Bras Ter Intensiva. 2015;27(3):202-204
DOI 10.5935/0103-507X.20150041
Antoni Torres
Views2
Severe community-acquired pneumonia (CAP) occurs in approximately 10% of hospitalized patients with CAP, and it still carries a high morbidity and mortality. In a multicenter study on severe pneumococcal CAP, the mortality of this population was 29%, with high rates of patients requiring mechanical ventilation and a shock.() Patients with severe CAP might die despite […]
See more
Commentaries
Optimizing perioperative mechanical ventilation as a key quality improvement target
- Marcus J. Schultz,
- Ary Serpa-Neto
Rev Bras Ter Intensiva. 2015;27(2):102-104
Abstract
Commentaries
Optimizing perioperative mechanical ventilation as a key quality improvement target
Rev Bras Ter Intensiva. 2015;27(2):102-104
DOI 10.5935/0103-507X.20150019
Marcus J. Schultz,
Ary Serpa-Neto
Views1
BACKGROUND The occurrence of postoperative pulmonary complications is strongly associated with increased hospital mortality and prolonged postoperative hospital stay.(,) Postoperative pulmonary complications could, at least in part be prevented by using so-called lung protective mechanical ventilation strategies, which may include use of low tidal volume (VT), positive end-expiratory pressure (PEEP) and low oxygen fractions (FiO2).() […]
See more

Views1
Abstract
Commentaries
Optimizing perioperative mechanical ventilation as a key quality improvement target
Rev Bras Ter Intensiva. 2015;27(2):102-104
DOI 10.5935/0103-507X.20150019
Marcus J. Schultz,
Ary Serpa-Neto
Views1
BACKGROUND The occurrence of postoperative pulmonary complications is strongly associated with increased hospital mortality and prolonged postoperative hospital stay.(,) Postoperative pulmonary complications could, at least in part be prevented by using so-called lung protective mechanical ventilation strategies, which may include use of low tidal volume (VT), positive end-expiratory pressure (PEEP) and low oxygen fractions (FiO2).() […]
See more
Commentaries
Systematic screening is essential for early diagnosis of severe sepsis and septic shock
- Glauco Adrieno Westphal,
- Adriana Silva Lino
Rev Bras Ter Intensiva. 2015;27(2):96-101
Abstract
Commentaries
Systematic screening is essential for early diagnosis of severe sepsis and septic shock
Rev Bras Ter Intensiva. 2015;27(2):96-101
DOI 10.5935/0103-507X.20150018
Glauco Adrieno Westphal,
Adriana Silva Lino
Views0
SEPSIS, EARLY INTERVENTIONS AND MORTALITY For over a decade, after studies showing the benefit of early goal-directed therapy() and the publication of the first Survival Sepsis Campaign (SSC) guidelines in 2004,() several other pieces of evidence have demonstrated the importance of early treatment in reducing mortality among patients with severe sepsis or septic shock.(–) This […]
See more

Views0
Abstract
Commentaries
Systematic screening is essential for early diagnosis of severe sepsis and septic shock
Rev Bras Ter Intensiva. 2015;27(2):96-101
DOI 10.5935/0103-507X.20150018
Glauco Adrieno Westphal,
Adriana Silva Lino
Views0
SEPSIS, EARLY INTERVENTIONS AND MORTALITY For over a decade, after studies showing the benefit of early goal-directed therapy() and the publication of the first Survival Sepsis Campaign (SSC) guidelines in 2004,() several other pieces of evidence have demonstrated the importance of early treatment in reducing mortality among patients with severe sepsis or septic shock.(–) This […]
See more
Commentaries
Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?
- Gustavo A. Ospina-Tascón,
- Humberto Madriñán-Navia
Rev Bras Ter Intensiva. 2015;27(2):92-95
Abstract
Commentaries
Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?
Rev Bras Ter Intensiva. 2015;27(2):92-95
DOI 10.5935/0103-507X.20150017
Gustavo A. Ospina-Tascón,
Humberto Madriñán-Navia
Views2
Tissue hypoperfusion and subsequent limited oxygen transport are critical features conducting to organ failure during shock states. Therefore, early identification of tissue hypoperfusion and adequate resuscitation are key for improving the probability of survival after septic shock.(,) However, how to identify organ perfusion abnormalities at the bedside and select the type and amount of fluids […]
See more

Views2
Abstract
Commentaries
Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?
Rev Bras Ter Intensiva. 2015;27(2):92-95
DOI 10.5935/0103-507X.20150017
Gustavo A. Ospina-Tascón,
Humberto Madriñán-Navia
Views2
Tissue hypoperfusion and subsequent limited oxygen transport are critical features conducting to organ failure during shock states. Therefore, early identification of tissue hypoperfusion and adequate resuscitation are key for improving the probability of survival after septic shock.(,) However, how to identify organ perfusion abnormalities at the bedside and select the type and amount of fluids […]
See more
Commentaries
New concepts for bringing urine biochemistry back to clinical practice in the intensive care unit
- Alexandre Toledo Maciel
Rev Bras Ter Intensiva. 2014;26(4):330-332
Abstract
Commentaries
New concepts for bringing urine biochemistry back to clinical practice in the intensive care unit
Rev Bras Ter Intensiva. 2014;26(4):330-332
DOI 10.5935/0103-507X.20140049
Alexandre Toledo Maciel
Views0
INTRODUCTION In the last few years, great attention has been given to the composition of the fluids that are administered to critically ill patients.(,) In particular, the amount of Na+ and Cl– is of paramount relevance because these two electrolytes are major determinants of the strong ion difference (SID) in the blood, which is the […]
See more

Views0
Abstract
Commentaries
New concepts for bringing urine biochemistry back to clinical practice in the intensive care unit
Rev Bras Ter Intensiva. 2014;26(4):330-332
DOI 10.5935/0103-507X.20140049
Alexandre Toledo Maciel
Views0
INTRODUCTION In the last few years, great attention has been given to the composition of the fluids that are administered to critically ill patients.(,) In particular, the amount of Na+ and Cl– is of paramount relevance because these two electrolytes are major determinants of the strong ion difference (SID) in the blood, which is the […]
See more
Commentaries
Current insights into severe sepsis in cancer patients
- Thomas Staudinger,
- Frédéric Pène
Rev Bras Ter Intensiva. 2014;26(4):335-338
Abstract
Commentaries
Current insights into severe sepsis in cancer patients
Rev Bras Ter Intensiva. 2014;26(4):335-338
DOI 10.5935/0103-507X.20140051
Thomas Staudinger,
Frédéric Pène
Views3
CLASSICAL AND EMERGENT RISK FACTORS FOR INFECTIONS Neutropenia due to myelosuppression by malignant infiltration or that which is more commonly caused by cytotoxic chemotherapy remains the hallmark of immunodeficiency in patients with cancer and is associated with a considerably increased risk for bacterial or fungal infections. In addition to quantitative defects, neutrophils also exhibit various […]
See more

Views3
Abstract
Commentaries
Current insights into severe sepsis in cancer patients
Rev Bras Ter Intensiva. 2014;26(4):335-338
DOI 10.5935/0103-507X.20140051
Thomas Staudinger,
Frédéric Pène
Views3
CLASSICAL AND EMERGENT RISK FACTORS FOR INFECTIONS Neutropenia due to myelosuppression by malignant infiltration or that which is more commonly caused by cytotoxic chemotherapy remains the hallmark of immunodeficiency in patients with cancer and is associated with a considerably increased risk for bacterial or fungal infections. In addition to quantitative defects, neutrophils also exhibit various […]
See more

Shortage of intensive care specialists in the United States: recent insights and proposed solutions

Shortage of intensive care specialists in the United States: recent insights and proposed solutions

Goals of goal-directed sedation

Goals of goal-directed sedation

Corticosteroids for severe CAP: the pros

Corticosteroids for severe CAP: the pros

Optimizing perioperative mechanical ventilation as a key quality improvement target

Optimizing perioperative mechanical ventilation as a key quality improvement target

Systematic screening is essential for early diagnosis of severe sepsis and septic shock

Systematic screening is essential for early diagnosis of severe sepsis and septic shock

Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?

Should microcirculation monitoring be used to guide fluid resuscitation in severe sepsis and septic shock?

New concepts for bringing urine biochemistry back to clinical practice in the intensive care unit

New concepts for bringing urine biochemistry back to clinical practice in the intensive care unit

Current insights into severe sepsis in cancer patients

Current insights into severe sepsis in cancer patients

PALAVRAS-CHAVE